Half-Life

半衰期
  • 文章类型: Journal Article
    8臂PEG(聚乙二醇)是一个非常有前途的纳米平台,由于其小尺寸(<10nm),容易结合(许多功能化的变体很容易获得“点击样”属性),生物相容性,和光学不活动。这项研究评估了8臂PEG在细胞中的摄取(体外)以及在脉管系统中的定位和清除(体内),以靶向小鼠的脉络膜新生血管。黄斑变性的动物模型。8臂PEG纳米颗粒用异硫氰酸荧光素(FITC)标记,并在不存在或存在五聚体Ar-Gly-Asp(RGD;4个RGD基序和PGC接头)(4个RGD基序和PGC接头)的情况下进行官能化,用于主动靶向的最常见的肽基序之一。体外研究显示,相对于未RGD缀合的对照NP,RGD缀合的8臂PEG纳米颗粒表现出34%±9%的增强的细胞摄取。在小鼠模型中进行激光诱导的脉络膜新生血管形成(CNV)以测量8臂PEG定位和清除以在体内模拟黄斑变性病变。已确定RGD缀合和非RGD缀合(nRGD)8臂PEG颗粒均定位在CNV病变上,半衰期约为24小时。体内实验表明,相对于没有RGD对照,RGD缀合的纳米颗粒的定位增强了15-20%。相对于较大的纳米粒子表现出很高的定位率和快速清除,靶向8臂PEG纳米颗粒与缀合的RGD肽可能是黄斑变性诊断和治疗的一种有希望的方式。
    8-arm PEG (polyethylene-glycol) is a highly promising nanoplatform due to its small size (<10 nm), ease-of-conjugation (many functionalized variants are readily available with \"click-like\" properties), biocompatibility, and optical inactivity. This study evaluates 8-arm PEG uptake into cells (in vitro) and localization and clearance in vasculature (in vivo) for targeting of choroidal neovascularization in mice, an animal model of macular degeneration. 8-arm PEG nanoparticles were labeled with fluorescein isothiocyanate (FITC) and functionalized in the absence or presence of pentameric Ar-Gly-Asp (RGD; 4 RGD motifs and a PGC linker), one of the most common peptide motifs used for active targeting. In vitro studies show that RGD-conjugated 8-arm PEG nanoparticles exhibit enhanced cellular uptake relative to non-RGD-conjugated control NPs at 34% ± 9%. Laser-induced choroidal neovascularization (CNV) was performed in a mouse model to measure 8-arm PEG localization and clearance to model macular degeneration lesions in vivo. It was determined that both RGD-conjugated and non-RGD-conjugated (nRGD) 8-arm PEG particles localized to CNV lesions, with a half-life around 24 h. In vivo experiments showed that RGD-conjugated nanoparticles exhibited enhanced localization by 15-20% relative to without RGD controls. Exhibiting a high rate of localization and fast clearance relative to larger nanoparticles, targeted 8-arm PEG nanoparticles with a conjugated RGD-peptide could be a promising modality for macular degeneration diagnosis and therapy.
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  • 文章类型: Journal Article
    抗逆转录病毒疗法大大降低了发病率,死亡率,以及艾滋病毒携带者的疾病传播。Islatravir是一种核苷逆转录酶易位抑制剂,通过多种作用机制抑制HIV-1的复制,它正在开发中用于治疗HIV-1感染。在临床前和临床研究中,islatravir的半衰期长(t½)为3.0天和8.7天(72小时和209小时,分别);因此,islatravir正在作为一种长效口服抗逆转录病毒药物进行研究。进行了一项研究,以明确阐明islatravir的末端t1/2及其活性形式islatravir-三磷酸(islatravir-TP)。一个单一的网站,开放标签,非随机化,本研究进行了单剂量1期研究,以评估口服单剂30mgislatravir后,血浆中islatravir的药代动力学和安全性以及外周血单核细胞中islatravir-TP的药代动力学.符合条件的参与者是年龄在18至65岁之间没有HIV感染的健康成年男性。14名参与者被登记。达到最大血浆islatravir浓度的中位时间为1小时。血浆islatravir浓度以双相方式降低,73小时的t½。给药后6周(〜1008小时),外周血单核细胞中islatravir-TP的t½(几何变异系数百分比)为8.1天或195小时(25.6%)。Islatravir通常具有良好的耐受性,没有观察到药物相关的不良事件。Islatravir-TP具有长的细胞内t½,支持以延长给药间隔给药的伊拉拉韦的进一步临床研究。
    Antiretroviral therapy has substantially reduced morbidity, mortality, and disease transmission in people living with HIV. Islatravir is a nucleoside reverse transcriptase translocation inhibitor that inhibits HIV-1 replication by multiple mechanisms of action, and it is in development for the treatment of HIV-1 infection. In preclinical and clinical studies, islatravir had a long half-life (t½) of 3.0 and 8.7 days (72 and 209 hours, respectively); therefore, islatravir is being investigated as a long-acting oral antiretroviral agent. A study was conducted to definitively elucidate the terminal t½ of islatravir and its active form islatravir-triphosphate (islatravir-TP). A single-site, open-label, non-randomized, single-dose phase 1 study was performed to evaluate the pharmacokinetics and safety of islatravir in plasma and the pharmacokinetics of islatravir-TP in peripheral blood mononuclear cells after administration of a single oral dose of islatravir 30 mg. Eligible participants were healthy adult males without HIV infection between the ages of 18 and 65 years. Fourteen participants were enrolled. The median time to maximum plasma islatravir concentration was 1 hour. Plasma islatravir concentrations decreased in a biphasic manner, with a t½ of 73 hours. The t½ (percentage geometric coefficient of variation) of islatravir-TP in peripheral blood mononuclear cells through 6 weeks (~1008 hours) after dosing was 8.1 days or 195 hours (25.6%). Islatravir was generally well tolerated with no drug-related adverse events observed. Islatravir-TP has a long intracellular t½, supporting further clinical investigation of islatravir administered at an extended dosing interval.
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  • 文章类型: Journal Article
    Imazethapyr是用于豆类杂草管理的最常见除草剂。在100和150ga.i./ha的施用率下,用10%SL的咪唑乙基烟制剂进行了田间试验,作为出现前和出现后,为了研究咪唑乙基烟在土壤中的消散,在urdbean植物中的持久性,urdbean籽粒中的末端残留及其对土壤微生物的影响。一种快速的醋酸盐,easy,便宜,有效,崎岖,和安全(QuEChERS)方法结合高效液相色谱(HPLC)进行了验证,用于咪唑乙基烟残留分析。在土壤中,咪唑乙烟碱的半衰期为15.12至18.02天。imazeethapyr的残留物在土壤中持续长达60天,在urdbean植物中持续长达7-15天。收获时在谷物中未检测到残留物。根据除草剂的施用率和时间安排,伊氮乙基烟残留物在土壤中的持久性会显着影响土壤微生物种群。
    Imazethapyr is the most common herbicide used for weed management in pulses. A field trial was carried out with imazethapyr 10% SL formulation at 100 and 150 g a.i./ha application rates, as pre-and post-emergence, to study dissipation of imazethapyr in soil, persistence in urdbean plant, terminal residues in urdbean grains and effect on soil microbes. An acetate buffered- quick, easy, cheap, effective, rugged, and safe (QuEChERS) method in combination with high-performance liquid chromatography (HPLC) was validated for imazethapyr residue analysis. The half-life of imazethapyr in soil ranged from 15.12 to 18.02 days. The residues of imazethapyr persist up to 60 days in soil and up to 7-15 days in urdbean plant. Residues were not detected in grains at the time of harvest. Persistence of imazethapyr residues in soil significantly impact soil microbial populations depending on herbicide application rates and timing.
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  • 文章类型: Journal Article
    本研究的重点是从芳香草的根际区即palmarosa(Cymbopogonmartinii(Roxb。Wats),柠檬草(Cymbopogonflexuosus)和香根草(Chrysopogonzizaniodes(L.)纳什。).因此,这些分离物单独或与芳香草的植被结合将用于清理受CP污染的土壤。该研究还探索了酶活性,CO2释放,脱氯潜力,和细菌菌株的降解途径。共分离出53株CP耐性细菌,其物理特性和降解CP的能力。10株对CP高度耐受的分离株分别为铜绿假单胞菌Pa608,3株来自不同根际的木偶假单胞菌R4-721,凝集素肠球菌PP2a,假单胞菌NBFPALD_RAS131,阴沟肠杆菌L3,嗜麦芽窄食单胞菌PEG-390,大肠杆菌ABRL132和大肠杆菌O104:H4菌株FWSEC0009。CP培养基中分离物的CO2排放和磷酸酶活性分别在3.1至8.6μmolmL-1和12.3至31μmolPNPh-1之间变化。这些分离物的CP降解动力学遵循单相衰减模型,耗散率范围为0.048至0.41d-1,半衰期为1.7-14.3天。在SGompertz方程中拟合的生长数据显示,生长速率(K)为0.21±0.28至0.91±0.33d-1。在分离株中,Monteilii菌株具有较快的生长速率,而大肠杆菌ABRL132具有较慢的生长。通过SGompertz方程计算的TCP积累速率为0.21±0.02至1.18±0.19d-1。单单胞菌显示出较低的TCP积累速率。其中,4个高效分离株分别为铜绿假单胞菌Pa608、假单胞菌NBFPALD_RAS131、嗜麦芽窄食单胞菌PEG-390和假单胞菌hibiscicolaR4-721。降解途径的说明表明,每个分离物的代谢途径的差异与它们的生长速率有关,磷酸酶脱氢酶,氧化酶,和脱氯活动。
    The present study focused on the isolation and identification of CP and TCP bacteria degrading bacteria from the rhizospheric zone of aromatic grasses i.e. palmarosa (Cymbopogon martinii (Roxb. Wats), lemongrass (Cymbopogon flexuosus) and vetiver (Chrysopogon zizaniodes (L.) Nash.). So that these isolates alone or in combination with the vegetation of aromatic grasses will be used to clean up CP-contaminated soils. The study also explored enzymatic activities, CO2 release, dechlorination potential, and degradation pathways of bacterial strains. A total of 53 CP-tolerant bacteria were isolated on their physical characteristics and their ability to degrade CP. The ten highly CP-tolerant isolates were Pseudomonas aeruginosa Pa608, three strains of Pseudomonas hibiscicola R4-721 from different rhizosphere, Enterococcus lectis PP2a, Pseudomonas monteilii NBFPALD_RAS131, Enterobacter cloacae L3, Stenotrophomonas maltophilia PEG-390, Escherichia coli ABRL132, and Escherichia coli O104:H4 strain FWSEC0009. The CO2 emission and phosphatase activities of the isolates varied from 3.1 to 8.6 μmol mL-1 and 12.3 to 31 μmol PNP h-1, respectively in the CP medium. The degradation kinetics of CP by these isolates followed a one-phase decay model with a dissipation rate ranging from 0.048 to 0.41 d-1 and a half-life of 1.7-14.3 days. The growth data fitted in the SGompertz equation showed a growth rate (K) of 0.21 ± 0.28 to 0.91 ± 0.33 d-1. The P. monteilii strain had a faster growth rate while E. coli ABRL132 had slower growth among the isolates. The rate of TCP accumulation calculated by the SGompertz equation was 0.21 ± 0.02 to 1.18 ± 0.19 d-1. The Pseudomonas monteilii showed a lower accumulation rate of TCP. Among these, four highly effective isolates were Pseudomonas aeruginosa Pa608, Pseudomonas monteilii NBFPALD_RAS131, Stenotrophomonas maltophilia PEG-390, and Pseudomonas hibiscicola R4-721. Illustrations of the degradation pathways indicated that the difference in metabolic pathways of each isolate was associated with their growth rate, phosphatase, dehydrogenase, oxidase, and dechlorination activities.
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  • 文章类型: Journal Article
    目标:在过去的十年中,东南亚的鲶鱼养殖有所增加。然而,在杂交鲶鱼(ClariasmacrocephalusxC.gariepinus)中没有药代动力学数据。
    目的:本研究旨在评估土霉素(OTC)在杂交鲶鱼中的药代动力学特征,在以50mg/kg体重(BW)的单一剂量进行单次血管内(IV)或口服(PO)给药之后。
    方法:总共,将140条cat鱼(每条约100-120gBW)分为两组(n=70)。在长达144h的预定时间从腹侧尾静脉收集血液样品(0.6-0.8mL)(稀疏样品设计)。使用高效液相色谱-光电二极管阵列检测器分析OTC血浆浓度。
    结果:使用非房室模型评估OTC的药代动力学参数。在IV和PO后的144和120小时内可检测到OTC血浆浓度,分别。在杂交鲶鱼中静脉给药后,OTC的消除半衰期值长,清除缓慢。OTC的平均最大浓度值为2.72µg/mL,最大浓度为8h。绝对PO生物利用度较低(2.47%)。
    结论:这些结果表明,以50mg/kgBW的剂量进行OTC的PO给药对于cat鱼的临床使用不太可能有效。多次加药饲料后OTC的药效学特性和临床疗效是有保证的。
    OBJECTIVE: Over the past decade, catfish farming has increased in Southeast Asia. However, there has been no existing for pharmacokinetic data in the hybrid catfish (Clarias macrocephalus x C. gariepinus).
    OBJECTIVE: This study was designed to evaluate the pharmacokinetic characteristics of oxytetracycline (OTC) in the hybrid catfish, following single intravascular (IV) or oral (PO) administration at a single dosage of 50 mg/kg body weight (BW).
    METHODS: In total, 140 catfish (each about 100-120 g BW) were divided into two groups (n = 70). Blood samples (0.6-0.8 mL) were collected from ventral caudal vein at pre-assigned times up to 144 h (sparse samples design). OTC plasma concentrations were analyzed using high-performance liquid chromatography-photodiode array detector.
    RESULTS: The pharmacokinetic parameter of OTC was evaluated using a non-compartment model. OTC plasma concentrations were detectable for up to 144 and 120 h after IV and PO, respectively. The elimination half-life value of OTC was long with slow clearance after IV administration in hybrid catfish. The average maximum concentration value of OTC was 2.72 µg/mL with a time at the maximum concentration of 8 h. The absolute PO bioavailability was low (2.47%).
    CONCLUSIONS: These results showed that PO administration of OTC at a dosage of 50 mg/kg BW was unlikely to be effective for clinical use in catfish. The pharmacodynamic properties and clinical efficacy of OTC after multiple medicated feed are warranted.
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  • 文章类型: Journal Article
    一些临床前研究的累积证据表明,在血栓炎症状态下恢复血浆DNA酶活性可能会改善临床结果。受伤后,过度活化的免疫细胞释放大量的颗粒状蛋白质和DNA,它通常在周围环境中积累在所谓的中性粒细胞胞外陷阱(NET)中。通过全身性DNase给药降解过量的NETs提供了改善炎症和溶解血管内凝块的有希望的治疗方法。为了扩大人DNA酶I的治疗用途,与Dornasealfa(Pulmozyme®)相比,该酶的一种变体具有延长的系统半衰期和更高的催化活性,DNA酶I的重组形式被批准用于囊性纤维化的吸入治疗。通过与强亲水性和可生物降解的PAS多肽的遗传融合,将高活性酶“PAS化”,以增加其流体动力学体积并延迟肾脏过滤。产生了稳定的基于TurboCell™CHO-K1的细胞系,其适合于根据良好生产规范(GMP)将来生产PAS化DNA酶I。此外,设计了一个强大的生物过程策略,并开发了一个有效的下游过程。最终的蛋白质产品具有优良的纯度,良好的物理化学性质,比Dornasealfa高14倍的DNA降解活性和持续的药代动力学特征,大鼠的清除率慢22倍。
    Cumulative evidence from several pre-clinical studies suggests that restoration of plasma DNase activity in a thrombo-inflammatory state may improve clinical outcomes. Following injury, hyperactivated immune cells release large amounts of granular proteins together with DNA, which often accumulate in the surrounding environment in so-called neutrophil extracellular traps (NETs). Degradation of excess NETs by systemic DNase administration offers a promising therapeutic approach to ameliorate inflammation and dissolve intravascular clots. In order to expand the therapeutic utility of human DNase I, a variant of the enzyme was developed that has both a prolonged systemic half-life and a higher catalytic activity compared to Dornase alfa (Pulmozyme®), the recombinant form of DNase I approved for inhaled therapy of cystic fibrosis. The hyperactive enzyme was \"PASylated\" by genetic fusion with a strongly hydrophilic and biodegradable PAS-polypeptide to increase its hydrodynamic volume and retard kidney filtration. A stable TurboCell™ CHO-K1-based cell line was generated which is suitable for the future production of PASylated DNase I according to good manufacturing practice (GMP). Furthermore, a robust bioprocess strategy was devised and an effective downstream process was developed. The final protein product is characterized by excellent purity, favorable physicochemical properties, a 14-fold higher DNA-degrading activity than Dornase alfa and a sustained pharmacokinetic profile, with a 22-fold slower clearance in rats.
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  • 文章类型: Journal Article
    本研究旨在评估安全性,药代动力学,和食物对苏丹吡啶的影响(WX-081),一种抑制分枝杆菌ATP合成酶的新药,临床应用于耐药结核病(TB)治疗。该研究包括两个臂:单个递增剂量(SAD)臂(30至600mg,N=52)和多次递增剂量(MAD)臂(200至400mg,N=30)。在SAD队列中使用400mg剂量评价食物的影响。使用经验证的液相色谱串联质谱法分析WX-081和M3(WX-081的主要代谢物)的血浆浓度。在SAD手臂中,平均停留时间(MRT0-t),终末半衰期,WX-081的间隙范围为18.87至52.8小时,31.39至236.57h,和6.4至80.34L/h,分别。从时间零到WX-081的最后可测量时间点(AUC0-t)的曲线下面积显示SAD臂中的剂量成比例的增加。WX-081的禁食状态和进食状态之间的差异显着(p<0.05),进食给药导致AUC0-t升高984.07%和最大血浆浓度升高961.55%。在SAD和MAD武器中,各1例出现1度房室传导阻滞.没有观察到QTc伸长率,和不良事件不是剂量依赖性的.有利的曝光,耐受性,安全,和扩展的MRT0-t表明WX-081有望成为耐药结核病治疗的II期开发候选药物。
    This study aimed to assess the safety, pharmacokinetics, and food impact on sudapyridine (WX-081), a novel drug designed to inhibit mycobacterium ATP synthase, with clinical applications for drug-resistant tuberculosis (TB) treatment. The research comprised two arms: a single ascending dose (SAD) arm (30 to 600 mg, N = 52) and a multiple ascending dose (MAD) arm (200 to 400 mg, N = 30). The influence of food was evaluated using a 400 mg dose within an SAD cohort. Plasma concentrations of WX-081 and M3 (main metabolite of WX-081) were analyzed using a validated liquid-chromatography tandem mass spectrometry method. In the SAD arm, mean residence time (MRT0-t), terminal half-life, and clearance of WX-081 ranged from 18.87 to 52.8 h, 31.39 to 236.57 h, and 6.4 to 80.34 L/h, respectively. The area under the curve from time zero to the last measurable timepoint (AUC0-t) of WX-081 showed dose-proportional increases in the SAD arm. The disparity between fasted and fed states of WX-081 was significant (p < 0.05), with fed dosing resulting in a 984.07% higher AUC0-t and 961.55% higher maximum plasma concentration. In both the SAD and MAD arms, one case each exhibited a 1 degree atrioventricular block. No QTc elongation was observed, and adverse events were not dose-dependent. Favorable exposure, tolerability, safety, and an extended MRT0-t suggest that WX-081 holds promise as a phase II development candidate for drug-resistant TB treatment.
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  • 文章类型: Journal Article
    这项生物等效性研究旨在评估禁食期间与参考制剂相比,测试制剂中乙炔雌二醇和屈螺酮的相对生物利用度和药代动力学特征。采用液相色谱-串联质谱法测定血浆中屈螺酮和乙炔雌二醇的浓度。分析的药代动力学参数是最大血浆浓度(Cmax),达到Cmax的时间(Tmax),消除半衰期,和血浆浓度时间曲线下面积(AUC0-t,乙炔雌二醇的AUC0-∞,和AUC0-72h为屈螺酮)。AUC和Cmax参数被确定为在80.00%和125.00%之间(90%置信区间),这是可以接受的范围。根据研究结果,结论是测试配方,其中包括3毫克屈螺酮和0.03毫克乙炔雌二醇,与参考制剂相比,证明了生物等效性。
    This bioequivalence research aims to evaluate the relative bioavailability and pharmacokinetic characteristics of ethinyl estradiol and drospirenone in the test preparation in comparison to the reference preparation during fasting conditions. A liquid chromatography method with tandem mass spectrometry was used to determine the concentrations of drospirenone and ethinyl estradiol in plasma. The pharmacokinetic parameters that were analyzed were the maximum plasma concentration (Cmax), time to achieve Cmax (tmax), elimination half life, and area under the concentration time curve of plasma (AUC0-t, AUC0-∞ for ethinyl estradiol, and AUC0-72h for drospirenone). Both the AUC and Cmax parameters were determined to be between 80.00% and 125.00% (90% confidence intervals), which is the acceptable range. Based on the study findings, it was concluded that the test formulation, which includes 3 mg of drospirenone and 0.03 mg of ethinyl estradiol, demonstrated bioequivalence when compared to the reference formulation.
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  • 文章类型: Journal Article
    肽类药物正成为具有高效和选择性的明星药物,为各种疾病开辟了新的治疗途径。然而,对水解酶的敏感性和相对较短的半衰期严重阻碍了它们的发展。在这项研究中,提出了一种基于新一代人工智能的肽半衰期准确预测系统,它实现了天然肽和修饰肽的半衰期预测,并成功地桥接了两个重要物种(人类,小鼠)和两个器官(血液,肠)。为了实现这一点,酶切描述符与传统的肽描述符整合,以构建更好的代表性。然后,通过比较传统机器学习和迁移学习,建立了具有准确性能的鲁棒模型,系统地。结果表明,酶裂解特征肯定可以增强模型性能。集成迁移学习的深度学习模型显著提高了预测精度,达到显著的R2值:0.84的天然肽和0.90的修饰肽在人的血液,小鼠血液中的天然肽为0.984,修饰肽为0.93,和0.94的小鼠肠道中的修饰肽测试集,分别。这些模型不仅成功地组成了上述系统,而且与相关作品相比,相关性提高了约15%。这项研究有望为肽半衰期评估提供有力的解决方案,并促进肽药物的开发。
    Peptide drugs are becoming star drug agents with high efficiency and selectivity which open up new therapeutic avenues for various diseases. However, the sensitivity to hydrolase and the relatively short half-life have severely hindered their development. In this study, a new generation artificial intelligence-based system for accurate prediction of peptide half-life was proposed, which realized the half-life prediction of both natural and modified peptides and successfully bridged the evaluation possibility between two important species (human, mouse) and two organs (blood, intestine). To achieve this, enzymatic cleavage descriptors were integrated with traditional peptide descriptors to construct a better representation. Then, robust models with accurate performance were established by comparing traditional machine learning and transfer learning, systematically. Results indicated that enzymatic cleavage features could certainly enhance model performance. The deep learning model integrating transfer learning significantly improved predictive accuracy, achieving remarkable R2 values: 0.84 for natural peptides and 0.90 for modified peptides in human blood, 0.984 for natural peptides and 0.93 for modified peptides in mouse blood, and 0.94 for modified peptides in mouse intestine on the test set, respectively. These models not only successfully composed the above-mentioned system but also improved by approximately 15% in terms of correlation compared to related works. This study is expected to provide powerful solutions for peptide half-life evaluation and boost peptide drug development.
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  • 文章类型: Journal Article
    胰岛素icodec是一种每周一次的胰岛素类似物,具有约7天的长半衰期,使其适合每周一次给药。胰岛素icodec分子是基于降低胰岛素受体亲和力并引入强白蛋白结合部分将导致长胰岛素半衰期的假设而开发的。前提是非受体介导的清除减少。这里,我们报告了胰岛素清除机制,导致胰岛素分子通过硫醇-二硫化物交换反应分裂为其A链和B链。即使胰岛素icodec中的取代显着稳定胰岛素抵抗这种降解,在小型猪和2型糖尿病患者的血浆样本中观察到一些游离的B链。总之,我们确定硫醇-二硫化物交换反应是一种重要的胰岛素清除机制,并发现稳定icodec胰岛素对该反应显着有助于其长期药代动力学/药效学特征。
    Insulin icodec is a once-weekly insulin analogue that has a long half-life of approximately 7 days, making it suitable for once weekly dosing. The Insulin icodec molecule was developed based on the hypothesis that lowering insulin receptor affinity and introducing a strong albumin-binding moiety would result in a long insulin half-life, provided that non-receptor-mediated clearance is diminished. Here, we report an insulin clearance mechanism, resulting in the splitting of insulin molecules into its A-chain and B-chain by a thiol-disulphide exchange reaction. Even though the substitutions in insulin icodec significantly stabilise insulin against such degradation, some free B-chain is observed in plasma samples from minipigs and people with type 2 diabetes. In summary, we identify thiol-disulphide exchange reactions to be an important insulin clearance mechanism and find that stabilising insulin icodec towards this reaction significantly contributes to its long pharmacokinetic/pharmacodynamic profile.
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